Supporting Documentation · Jun 28, 2022
164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf
5810364b1a11a653c0e494886d43568cc13f22f4ed18efb7fe6f37e47bcec269Indexed text · page 31
Show all pagesRachel Ruiz Workers’ Compensation Manager Rachel Ruiz joins CRC contributing a decade of diverse NJ claims management experience handling complex files for a large Joint Insurance Fund with over 120 members and also as a dedicated adjuster for a large self-insured municipal entity. She began her workers’ compensation career as a Medical Only adjuster for both municipal JIF and BOE accounts. Ms. Ruiz quickly progressed through the levels and became a Senior Adjuster within 3 years. Ms. Ruiz has a strong background in subrogation and has retrieved several hundred thousand dollars in recovery without solicitor assistance. She also became a Medicare Training Specialist responsible for developing systems to accurately identify, track, and report eligible workers’ compensation claims and was the primary trainer for coworkers on prior reporting to CMS. Ms. Ruiz was promoted to Workers’ Compensation Team Leader in 2017 based upon her exceptional results and broad knowledge of workers’ compensation best practices. She has extensive experience in claim management including aggressive claims investigation to determine compensability, medical monitoring protocol to facilitate prompt return to work, lost time management, reserve analysis and excess reporting criteria. She has continued her ability to deliver excellent results to our clients and was promoted to Supervisor of Workers’ Compensation in 2018 overseeing all workers’ compensation units for CRC. Her exceptional communication, customer service, and organizational skills make her the perfect partner to deliver outstanding results. Jion Price Workers” Compensation Assistant Supervisor Ms. Price joined CRC in June of 2019 bringing with her 4 years of experience with a Third-Party Administrator managing large self-insured client workers’ compensation programs. Ms. Price progressed very quickly in her role as an Indemnity Adjuster while handling complex litigated, catastrophic, and fraudulent claims. Ms. Price delivers proven results through aggressive claims management, strong legal negotiating skills resulting in cost effective resolution and third-party recoveries. She works closely with Clients and medical providers to ensure that transitional, modified duty is implemented whenever possible. Ms. Price’s first-hand knowledge of Title 34, her excellent communication skills and client focused demeanor make her
iders to ensure that transitional, modified duty is implemented whenever possible. Ms. Price’s first-hand knowledge of Title 34, her excellent communication skills and client focused demeanor make her a vital asset to our team and our Clients.
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